Mindful Making & Mindful Mending Group Referral Form

Mindful Making & Mindful Mending Group Referral Form

We are now running a weekly Free MINDFUL MAKING GROUP on Tuesday Mornings 10am - 12pm focusing on stitching and textile crafts AND a *NEW* MINDFUL MENDING GROUP on Wednesday Mornings 10am - 12pm focusing on mending and darning projects. The Groups are bookable by referral only and aim to improve access to opportunities to help adults improve health and wellbeing through craft and creativity, learn some valuable new skills and connect with others. Run by Stitch-Up CIC Craft School at Meanwood Community Centre. Choose from the two groups in the referral form below.
Referring organisation name and contact details ( Not applicable if self-referring)
Group Name
Reason for referral or self-referral
Student Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityCounty

Post Code
Telephone Number
E-mail
example@example.com
First language Spoken/ Any other language spoken
Equal Opportunities Information

Completion of this information is optional and will be treated with the utmost confidentiality
Birth Date

MonthDayYear
Gender
Ethnicity
Please let us know about any access or support needs that you may have
Thank you for your referral. We will be in touch soon with more information and to confirm your place
Should be Empty: